Volume 20, Issue 4 (11-2021)
TB 2021, 20(4): 14-28 |
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Research code: 980267
Ethics code: IR. MUMS. REC. 1398. 162
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Asa kohne forody Z, Gholian-Aval M, Tehrani H, Esmaily H. The Effect of Self-Efficacy Education Based on Self-Care Behaviors in Self-Help Hypertensive Groups. TB 2021; 20 (4) :14-28
URL: http://tbj.ssu.ac.ir/article-1-3210-en.html
URL: http://tbj.ssu.ac.ir/article-1-3210-en.html
Research Center for Social Factors Affecting Health and Department of Health Education and Promotion Health, School of Health, Mashhad University of Medical Sciences, Iran , gholianam@mums.ac.ir
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The Effect of self-efficacy education based on self-care behaviors of self-administered hypertension groups
Zahra Asa Kohne Forody (M.Sc.)1 ، Mehdi Gholian Aval (Ph.D)2 Hadi Tehrani (Ph.D) 3 ، Habibollah Esmaily (Ph.D) 4
1.M.Sc., Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Science,Mashhad,Iran.
2. Corresponding Author :Associate Professor, Health Science Research Center, Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Science, Mashhad, Iran. Email:gholianam@mums.ac.ir Tel:09153110577
3. Associate Professor, Health Science Research Center, Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Science, Mashhad, Iran.
4.Professor of Epidemiology & Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract
Introduction: High blood pressure is a chronic disease that requires long-term treatment; despite being asymptomatic, it leads to fatal complaints and complications. Therefore, the present study was conducted to determine the effect of education based on self-efficacy theory on self-care behaviors of hypertensive self-help groups in comprehensive health service centers in Mashhad in2020.
Methods: This study is a quasi-experimental study in which 80 female patients with hypertension were randomly divided into experimental and control groups. The educational intervention was based on the theory of self-efficacy for the experimental group. Data collection tools were a three-part questionnaire including: demographic information and a standard questionnaire of self-efficacy and self-care of blood pressure. Data were analyzed using independent t-test, Mann-Whitney, Chi-square, Fisher's exact test, Friedman test and repeated measures and analysis of covariance by SPSS software version 20 with a significance level of 0.05
Results: There was a significant difference in self-efficacy (P <0.001) and self-care (P <0.001) scores and controlled blood pressure between the experimental and control groups. The self-care score increased by 0.84 which was also statistically significant (p <0.001)
Conclusion: Intervention based on the theory of self-efficacy can be effective in promoting self-care and self-efficacy of blood pressure self-help groups. Therefore, it is suggested that this theory be used in educational planning for patients and blood pressure self-help groups
Keywords: Hypertension, Self-efficacy, Self-care, Patient, Blood pressure self-help group
Conflict of interest: The authors declared that there is no conflict of interest
Zahra Asa Kohne Forody (M.Sc.)1 ، Mehdi Gholian Aval (Ph.D)2 Hadi Tehrani (Ph.D) 3 ، Habibollah Esmaily (Ph.D) 4
1.M.Sc., Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Science,Mashhad,Iran.
2. Corresponding Author :Associate Professor, Health Science Research Center, Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Science, Mashhad, Iran. Email:gholianam@mums.ac.ir Tel:09153110577
3. Associate Professor, Health Science Research Center, Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Science, Mashhad, Iran.
4.Professor of Epidemiology & Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract
Introduction: High blood pressure is a chronic disease that requires long-term treatment; despite being asymptomatic, it leads to fatal complaints and complications. Therefore, the present study was conducted to determine the effect of education based on self-efficacy theory on self-care behaviors of hypertensive self-help groups in comprehensive health service centers in Mashhad in2020.
Methods: This study is a quasi-experimental study in which 80 female patients with hypertension were randomly divided into experimental and control groups. The educational intervention was based on the theory of self-efficacy for the experimental group. Data collection tools were a three-part questionnaire including: demographic information and a standard questionnaire of self-efficacy and self-care of blood pressure. Data were analyzed using independent t-test, Mann-Whitney, Chi-square, Fisher's exact test, Friedman test and repeated measures and analysis of covariance by SPSS software version 20 with a significance level of 0.05
Results: There was a significant difference in self-efficacy (P <0.001) and self-care (P <0.001) scores and controlled blood pressure between the experimental and control groups. The self-care score increased by 0.84 which was also statistically significant (p <0.001)
Conclusion: Intervention based on the theory of self-efficacy can be effective in promoting self-care and self-efficacy of blood pressure self-help groups. Therefore, it is suggested that this theory be used in educational planning for patients and blood pressure self-help groups
Keywords: Hypertension, Self-efficacy, Self-care, Patient, Blood pressure self-help group
Conflict of interest: The authors declared that there is no conflict of interest
1- Bakhtiari A, Neshat DH, Abedi A, Sadeghi M. Effectiveness OF Group Therapy Based on detached mindfulness meta-cognitive model on hypertension-suffering female patients’hypertension and anxiety. 2013.
2- Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, Jr., et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. Jama. 2003;289(19):2560-72.
3- Perez V, Chang ET. Sodium-to-potassium ratio and blood pressure, hypertension, and related factors. Advances in nutrition. 2014;5(6):712-41.
4- Asa Kohneforoudi Z QaM. Evaluation of the effect of self-efficacy education based on self-care behaviors of hypertensive self-help groups in comprehensive health service centers in Mashhad in 2020 [tf]: Mashhad University of Medical Sciences; 2020.
5- Barati M, Darabi D, Moghimbeigi A, Afsar A. Self-regulation behaviors of hypertension and related factors among hypertensive patients. Journal of Fasa University of Medical Sciences. 2011;1(3):116-22.
6- Karimi M, Clark AM. How do patients’ values influence heart failure self-care decision-making?: A mixed-methods systematic review. International journal of nursing studies. 2016;59:89-104.
7- Cowen PS, Moorhead S. Current Issues In Nursing-E-Book: Elsevier Health Sciences; 2014.
8- Royani Z, Rayyani M, Behnampour N, Arab M, Goleij J. The effect of empowerment program on empowerment level and self-care self-efficacy of patients on hemodialysis treatment. Iranian journal of nursing and midwifery research. 2013;18(1):84.
9- Rayyani M, Malekyan L, Forouzi MA, Haghdoost A, Razban F. Self-care self-efficacy and quality of life among patients receiving hemodialysis in South-East of Iran. Asian Journal of Nursing Education and Research. 2014;4(2):165-71.
10- Mularcik KA. Self-efficacy toward health behaviors to improve blood pressure in patients who receive care in a primary care network: The Ohio State University; 2010.
11- Eghbali T, Salehi S. The Effect of Nursing Intervention Education on Self-care Behaviors in Patients with High Blood Pressure Referred to Healthcare Centers in Kermanshah Province. Iranian Journal of Rehabilitation Research.2017;4(1):32-7.
12- Ghanei Gheshlagh R, Ghalenoee M, Dalvand S, Farajzadeh M, Ebadi A. Psychometric properties of Persian version of Hypertension Self-Care Profile in patients with high blood pressure .2018;1(21):25-32.
13-Gheshlagh RG, Parizad N, Ghalenoee M, Dalvand S, Baghi V, Najafi F, et al. Psychometric features of the persian version of self-efficacy tool for patients with hypertension. International Cardiovascular Research Journal. 2018;12(2):50-6.
14- Jamshidi A, Rozbahani N, Nasirian M. The effect of group discussion on self-care behaviors among hypertensive patients referring to health care centers in Arak City. 2020.
15- Ramezankhani A, Pooresmaeili A, Rakhshandehrou S. The Effect of group discussion method Educational on Knowledge, Attitude and Preventive Behaviors of high blood pressure in women 20-49 years old Islamshahr Cit. Razi Journal of Medical Sciences. 2017;24(155):11-9.
16- Shahbodaghi Z, Borhani F, Rayyani M. The effects of salf-care program on blood pressure of patients with diabetes. 2014.
17- Kheibar N, Nik-Pour S, Haji-Kazemi E-S, Haghani H, Dastoorpour M. Investigation of the effects of group discussion on the empowerment of patients with hypertension who were referred to two health centers in Tehran in 2011. Jorjani Biomedicine Journal. 2014;2(1) :3-39.
18- Tang TS, Funnell MM, Brown MB, Kurlander JE. Self-management support in “real-world” settings: an empowerment-based intervention. Patient education and counseling. 2010;79(2):178-84.
19- Lee KS, Moser DK, Dracup K. Relationship between self-care and comprehensive understanding of heart failure and its signs and symptoms. European Journal of Cardiovascular Nursing. 2018;17(6):496-504.
20- Rahnama A, Shamsizadeh M, Salavati M, Mohammadi Y, Saheb Ekhtiari N. The Effect of Planned Education on Self-Efficacy of Patients with Hypertension: A Randomised Clinical Trial Study. Avicenna Journal of Nursing and Midwifery Care. 2018;26(2):91-102.
21- Baljani E, Salimi S, Rahimi J, Amanpour E, Parkhashjou M, Sharifnejad A, et al. The effect of education on promoting self efficacy in patients with cardiovascular disease. Journal of Kermanshah University of Medical Sciences. 2012;16(3).
22- Gardetto NJ. Self-management in heart failure: where have we been and where should we go? Journal of multidisciplinary healthcare. 2011;4:39.
23- Hu H, Li G, Arao T. Validation of a Chinese version of the self-efficacy for managing chronic disease 6-item scale in patients with hypertension in primary care. International Scholarly Research Notices. 2013.
24- Khan MH, Akazawa M, Dararath E, Kiet HB, Sovannarith T, Nivanna N, et al. Perceptions and practices of pharmaceutical wholesalers surrounding counterfeit medicines in a developing country: a baseline survey. BMC health services research. 2011;11(1):1-8.
25- Molloy GJ, Randall G, Wikman A, Perkins-Porras L, Messerli-Bürgy N, Steptoe A. Type D personality, self-efficacy, and medication adherence following an acute coronary syndrome. Psychosomatic medicine. 2012;74(1):100-6.
26- Morowatisharifabad M, Rouhani Tonekaboni N. Perceived self-efficacy in self-care behaviors among diabetic patients referring to Yazd Diabetes Research Center. Journal of Birjand University of Medical Sciences. 2008;15(4):91-9.
27- Mirzaei AM, Nasirzadeh M, Jalilian F, Mostafavi F, Hafezi M. Self-efficacy of health promotion behaviors in hypertensive patients. 2012.
28- Sarkar U, Fisher L, Schillinger D. Is self-efficacy associated with diabetes self-management across race/ethnicity and health literacy? Diabetes care. 2006;29(4):823-9.
29- Hejazi S, Peyman N, Tajfard M, Esmaily H. The impact of education based on self-efficacy theory on health literacy, self-efficacy and self-care behaviors in patients with type 2 diabetes. Iranian Journal of Health Education and Health Promotion. 2017;5(4):296-303.
30- Shayesteh H, Mansoriyan M, Mirzaie A, Sayehmiri K. Survey of the effect of educational intervention on the nutrition physical activity and stress management of patients with hypertension among the rural population of Aligoudarz County of Lorestan Province in 2015. scientific journal of ilam university of medical sciences. 2016;24(2):54-62.
31- Kalhornia GM, Banijamali S, Bahrami H, Hatami H, Ahadi H. Effectiveness of mixed therapy of stress management training and spiritual therapy on level of blood pressure, anxiety and quality of life of high blood pressure patients. 2014.
32- Samiei Siboni F, Alimoradi Z, Sadegi T. Impact of corrective life style educational program on controlling stress, anxiety, and depression in hypertensives. Journal of Birjand University of Medical Sciences. 2013;19(6):1-9.
33- Aghamolaei T. Hoseini f, Farshidi H, Madani A, Ghanbarnejad A.[The Impact of an educational Intervention Based on Precede-Proceed Model on Lifestyle changes among Hypertension Patients]. J Health Educ Health Promot. 2014;2(1):17-26.
34- Bahrami Nejad N, Hanifi N, Moosavi Nasab N. Comparing the effect of two family-and individual-based interventions on blood pressure and lifestyle. Journal of Inflammatory Disease. 2008;12(1):62-79.
35- Ferrara AL, Pacioni D, Di Fronzo V, Russo BF, Staiano L, Speranza E, et al. Lifestyle Educational Program Strongly Increases Compliance to Nonpharmacologic Intervention in Hypertensive Patients: A 2‐Year Follow‐Up Study. The Journal of Clinical Hypertension. 2012;14(11);72-6.
36- Cicolini G, Simonetti V, Comparcini D, Celiberti I, Di Nicola M, Capasso L, et al. Efficacy of a nurse-led email reminder program for cardiovascular prevention risk reduction in hypertensive patients: A randomized controlled trial. International journal of nursing studies. 2014;51(6):833-43.
37- Beune EJ, Van Charante EPM, Beem L, Mohrs J, Agyemang CO, Ogedegbe G, et al. Culturally adapted hypertension education (CAHE) to improve blood pressure control and treatment adherence in patients of African origin with uncontrolled hypertension: cluster-randomized trial. PloS one. 2014;9(3):e90103.
38- Simces ZL, Ross SE, Rabkin SW. Diagnosis of hypertension and lifestyle modifications for its management. BC Med J. 2012;54(8):392-8.
2- Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, Jr., et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. Jama. 2003;289(19):2560-72.
3- Perez V, Chang ET. Sodium-to-potassium ratio and blood pressure, hypertension, and related factors. Advances in nutrition. 2014;5(6):712-41.
4- Asa Kohneforoudi Z QaM. Evaluation of the effect of self-efficacy education based on self-care behaviors of hypertensive self-help groups in comprehensive health service centers in Mashhad in 2020 [tf]: Mashhad University of Medical Sciences; 2020.
5- Barati M, Darabi D, Moghimbeigi A, Afsar A. Self-regulation behaviors of hypertension and related factors among hypertensive patients. Journal of Fasa University of Medical Sciences. 2011;1(3):116-22.
6- Karimi M, Clark AM. How do patients’ values influence heart failure self-care decision-making?: A mixed-methods systematic review. International journal of nursing studies. 2016;59:89-104.
7- Cowen PS, Moorhead S. Current Issues In Nursing-E-Book: Elsevier Health Sciences; 2014.
8- Royani Z, Rayyani M, Behnampour N, Arab M, Goleij J. The effect of empowerment program on empowerment level and self-care self-efficacy of patients on hemodialysis treatment. Iranian journal of nursing and midwifery research. 2013;18(1):84.
9- Rayyani M, Malekyan L, Forouzi MA, Haghdoost A, Razban F. Self-care self-efficacy and quality of life among patients receiving hemodialysis in South-East of Iran. Asian Journal of Nursing Education and Research. 2014;4(2):165-71.
10- Mularcik KA. Self-efficacy toward health behaviors to improve blood pressure in patients who receive care in a primary care network: The Ohio State University; 2010.
11- Eghbali T, Salehi S. The Effect of Nursing Intervention Education on Self-care Behaviors in Patients with High Blood Pressure Referred to Healthcare Centers in Kermanshah Province. Iranian Journal of Rehabilitation Research.2017;4(1):32-7.
12- Ghanei Gheshlagh R, Ghalenoee M, Dalvand S, Farajzadeh M, Ebadi A. Psychometric properties of Persian version of Hypertension Self-Care Profile in patients with high blood pressure .2018;1(21):25-32.
13-Gheshlagh RG, Parizad N, Ghalenoee M, Dalvand S, Baghi V, Najafi F, et al. Psychometric features of the persian version of self-efficacy tool for patients with hypertension. International Cardiovascular Research Journal. 2018;12(2):50-6.
14- Jamshidi A, Rozbahani N, Nasirian M. The effect of group discussion on self-care behaviors among hypertensive patients referring to health care centers in Arak City. 2020.
15- Ramezankhani A, Pooresmaeili A, Rakhshandehrou S. The Effect of group discussion method Educational on Knowledge, Attitude and Preventive Behaviors of high blood pressure in women 20-49 years old Islamshahr Cit. Razi Journal of Medical Sciences. 2017;24(155):11-9.
16- Shahbodaghi Z, Borhani F, Rayyani M. The effects of salf-care program on blood pressure of patients with diabetes. 2014.
17- Kheibar N, Nik-Pour S, Haji-Kazemi E-S, Haghani H, Dastoorpour M. Investigation of the effects of group discussion on the empowerment of patients with hypertension who were referred to two health centers in Tehran in 2011. Jorjani Biomedicine Journal. 2014;2(1) :3-39.
18- Tang TS, Funnell MM, Brown MB, Kurlander JE. Self-management support in “real-world” settings: an empowerment-based intervention. Patient education and counseling. 2010;79(2):178-84.
19- Lee KS, Moser DK, Dracup K. Relationship between self-care and comprehensive understanding of heart failure and its signs and symptoms. European Journal of Cardiovascular Nursing. 2018;17(6):496-504.
20- Rahnama A, Shamsizadeh M, Salavati M, Mohammadi Y, Saheb Ekhtiari N. The Effect of Planned Education on Self-Efficacy of Patients with Hypertension: A Randomised Clinical Trial Study. Avicenna Journal of Nursing and Midwifery Care. 2018;26(2):91-102.
21- Baljani E, Salimi S, Rahimi J, Amanpour E, Parkhashjou M, Sharifnejad A, et al. The effect of education on promoting self efficacy in patients with cardiovascular disease. Journal of Kermanshah University of Medical Sciences. 2012;16(3).
22- Gardetto NJ. Self-management in heart failure: where have we been and where should we go? Journal of multidisciplinary healthcare. 2011;4:39.
23- Hu H, Li G, Arao T. Validation of a Chinese version of the self-efficacy for managing chronic disease 6-item scale in patients with hypertension in primary care. International Scholarly Research Notices. 2013.
24- Khan MH, Akazawa M, Dararath E, Kiet HB, Sovannarith T, Nivanna N, et al. Perceptions and practices of pharmaceutical wholesalers surrounding counterfeit medicines in a developing country: a baseline survey. BMC health services research. 2011;11(1):1-8.
25- Molloy GJ, Randall G, Wikman A, Perkins-Porras L, Messerli-Bürgy N, Steptoe A. Type D personality, self-efficacy, and medication adherence following an acute coronary syndrome. Psychosomatic medicine. 2012;74(1):100-6.
26- Morowatisharifabad M, Rouhani Tonekaboni N. Perceived self-efficacy in self-care behaviors among diabetic patients referring to Yazd Diabetes Research Center. Journal of Birjand University of Medical Sciences. 2008;15(4):91-9.
27- Mirzaei AM, Nasirzadeh M, Jalilian F, Mostafavi F, Hafezi M. Self-efficacy of health promotion behaviors in hypertensive patients. 2012.
28- Sarkar U, Fisher L, Schillinger D. Is self-efficacy associated with diabetes self-management across race/ethnicity and health literacy? Diabetes care. 2006;29(4):823-9.
29- Hejazi S, Peyman N, Tajfard M, Esmaily H. The impact of education based on self-efficacy theory on health literacy, self-efficacy and self-care behaviors in patients with type 2 diabetes. Iranian Journal of Health Education and Health Promotion. 2017;5(4):296-303.
30- Shayesteh H, Mansoriyan M, Mirzaie A, Sayehmiri K. Survey of the effect of educational intervention on the nutrition physical activity and stress management of patients with hypertension among the rural population of Aligoudarz County of Lorestan Province in 2015. scientific journal of ilam university of medical sciences. 2016;24(2):54-62.
31- Kalhornia GM, Banijamali S, Bahrami H, Hatami H, Ahadi H. Effectiveness of mixed therapy of stress management training and spiritual therapy on level of blood pressure, anxiety and quality of life of high blood pressure patients. 2014.
32- Samiei Siboni F, Alimoradi Z, Sadegi T. Impact of corrective life style educational program on controlling stress, anxiety, and depression in hypertensives. Journal of Birjand University of Medical Sciences. 2013;19(6):1-9.
33- Aghamolaei T. Hoseini f, Farshidi H, Madani A, Ghanbarnejad A.[The Impact of an educational Intervention Based on Precede-Proceed Model on Lifestyle changes among Hypertension Patients]. J Health Educ Health Promot. 2014;2(1):17-26.
34- Bahrami Nejad N, Hanifi N, Moosavi Nasab N. Comparing the effect of two family-and individual-based interventions on blood pressure and lifestyle. Journal of Inflammatory Disease. 2008;12(1):62-79.
35- Ferrara AL, Pacioni D, Di Fronzo V, Russo BF, Staiano L, Speranza E, et al. Lifestyle Educational Program Strongly Increases Compliance to Nonpharmacologic Intervention in Hypertensive Patients: A 2‐Year Follow‐Up Study. The Journal of Clinical Hypertension. 2012;14(11);72-6.
36- Cicolini G, Simonetti V, Comparcini D, Celiberti I, Di Nicola M, Capasso L, et al. Efficacy of a nurse-led email reminder program for cardiovascular prevention risk reduction in hypertensive patients: A randomized controlled trial. International journal of nursing studies. 2014;51(6):833-43.
37- Beune EJ, Van Charante EPM, Beem L, Mohrs J, Agyemang CO, Ogedegbe G, et al. Culturally adapted hypertension education (CAHE) to improve blood pressure control and treatment adherence in patients of African origin with uncontrolled hypertension: cluster-randomized trial. PloS one. 2014;9(3):e90103.
38- Simces ZL, Ross SE, Rabkin SW. Diagnosis of hypertension and lifestyle modifications for its management. BC Med J. 2012;54(8):392-8.
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Received: 2021/05/16 | Accepted: 2021/07/4 | Published: 2021/11/1
Received: 2021/05/16 | Accepted: 2021/07/4 | Published: 2021/11/1
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